NPI | 1568058105 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NH 1363) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: ME AT795) |
Enumeration Date | 2020-12-17 |
Last Update Date | 2020-12-17 |